Vaginal and Uterine Bleeding
Course #93604 - $30 -
- Participation Instructions
- Review the course material online or in print.
- Complete the course evaluation.
- Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.
Vaginal bleeding is a common complaint in patients seeking care from their primary care provider, obstetrician/gynecologist, or urgent care/emergency department provider. Distinguishing normal from abnormal bleeding is important in determining the best course of management, as is distinguishing the type of bleeding. Normal versus abnormal bleeding will, of course, depend on the patient's age and menstrual status (i.e., prepubertal, reproductive age, or postmenopausal).The International Federation of Gynecology and Obstetrics (FIGO) has described a classification for abnormal uterine bleeding in order to help standardize and resolve inconsistencies in nomenclature. This classification, PALM-COEIN, will be described in detail.
This course is designed for gynecologists, primary care physicians, surgical professionals, and other primary care health providers, including physician assistants and nurses, involved in the care of women.
The purpose of this course is to outline the many different causes of vaginal and uterine bleeding, describe the FIGO classification system, and discuss diagnostic techniques and treatment options for various causes of bleeding, allowing for improvements in the care of women who present with abnormal vaginal or uterine bleeding.
Upon completion of this course, you should be able to:
- Describe different etiologies of vaginal bleeding in different age groups.
- Outline treatment options for various causes of vaginal bleeding.
- Describe the diagnosis of and FIGO classification system for abnormal uterine bleeding.
- Evaluate the pathophysiology of various types of abnormal uterine bleeding and appropriate treatment modalities.
- Discuss the identification and treatment of abnormal uterine bleeding in special populations.
Julie Quinn, MD, is a board-certified obstetrician-gynecologist who practiced general Obstetrics and Gynecology for four years before transitioning to a career in medical communications. Dr. Quinn completed her undergraduate education at the University of California, Davis, and her medical education at Pennsylvania State University College of Medicine. She completed her training at the Phoenix Integrated Residency in Obstetrics and Gynecology in Phoenix, Arizona.
Contributing faculty, Julie Quinn, MD, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
John V. Jurica, MD, MPH
Mary Franks, MSN, APRN, FNP-C
Shannon E. Smith, MHSC, CST, CSFA
The division planners have disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
Sarah Campbell
The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.
Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.
It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.
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The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.
Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.